1986
DOI: 10.3171/jns.1986.64.4.0563
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Management of symptomatic deep venous thrombosis and pulmonary embolism on a neurosurgical service

Abstract: The authors present a retrospective analysis of the management of deep vein thrombosis (DVT) and pulmonary embolism (PE) in neurosurgical patients at the Massachusetts General Hospital from January, 1978, through June, 1982. There were 44 cases of DVT and 13 cases of PE. Management modalities included observation only, femoral vein ligation, inferior vena cava clipping, transvenous placement of an inferior vena cava filter or umbrella, and anticoagulation therapy. Six (75%) of eight patients with symptomatic D… Show more

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Cited by 41 publications
(5 citation statements)
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“…Similar data was published by Swan et al 29. A delay of heparin treatment can be fatal as happened in one patient in our series and 38% of Swan's series.…”
Section: Discussionsupporting
confidence: 79%
“…Similar data was published by Swan et al 29. A delay of heparin treatment can be fatal as happened in one patient in our series and 38% of Swan's series.…”
Section: Discussionsupporting
confidence: 79%
“…Large thrombi in the proximal venous system and/or pulmonary embolism must be treated promptly. Full anticoagulation of brain tumor patients has been considered generally safe, although there are no data on how soon after craniotomy anticoagulation can be initiated [23]. Anecdotal experiences suggest that anticoagulation may be safe as early as 24 hours after craniotomy.…”
Section: Discussionmentioning
confidence: 99%
“…However, experimental data in rats suggest an increased risk of intracerebral hemorrhage if anticoagulation therapy is initiated during the first 7 postoperative days [24]. Placement of a vena cava umbrella, on the other hand, carries a low risk when properly performed, but it does not help reduce the occurrence or sequelae of lower extremity thrombophlebitis [23,25,26].…”
Section: Discussionmentioning
confidence: 99%
“…Venous thromboembolism is a common complication in patients who have undergone neurosurgery, Without thromboprophylaxis, the incidence of symptomless deep-vein thrombosis ranges between 2 0 and 50% (1)(2)(3)(4)(5), and fatal pulmonary embolism is reported to occur in 1.5 to 5% of patients (6)(7)(8)(9).…”
Section: Introductionmentioning
confidence: 99%